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<title>Contact GEHC Services</title>
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	<h4>GEHC Service Center : Contact</h4>
	<TABLE height="1000" width=1000 border="0">
		<TR>
			<TD colspan="2" bgcolor="#3B73B9" height="20">
				<h5>
					<font color=white>Welcome</font>
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			<TD width="150" vAlign="top" bgcolor="whitesmoke"
				style="color: #3B73B9;"><P dir="ltr" style="MARGIN-LEFT: 9px">
					<br /> <STRONG>Links to Other Sites</STRONG><br /> <FONT
						color="#ff0066">&gt;</FONT> <a href="http://www.ge.com">GE
						Home Page</a><br /> <br /> <STRONG>Links</STRONG><br> <FONT
						color="#ff0066">&gt;</FONT> <a href=logoff.jsp>Logon</a><br /> <br />
					<STRONG>Instructor Samples</STRONG><br /> <FONT color="#ff0066">&gt;</FONT>
					<a href=javascript.jsp>JavaScript Samples</a><br /> <FONT
						color="#ff0066">&gt;</FONT> <a href=SchoolMascot.htm>School/Mascot</a><br />
					<FONT color="#ff0066">&gt;</FONT> <a href=userlist.jsp>User
						List</a><br /> <br /> <STRONG>Workshop Solutions</STRONG><br /> <FONT
						color="#ff0066">&gt;</FONT> <a href=ServicePlans.htm>Service
						Plans</a><br /> <FONT color="#ff0066">&gt;</FONT> <a
						href=ContactUs.htm>Contact Us</a><br /> <FONT color="#ff0066">&gt;</FONT>
					<a href=ROICalculator.htm>ROI Calculator</a><br /> <FONT
						color="#ff0066">&gt;</FONT> <a href=ShipCalculator.htm>Shipment
						Calculator</a><br /> <FONT color="#ff0066">&gt;</FONT> <a
						href=productlist.jsp>Product List</a><br /> <FONT color="#ff0066">&gt;</FONT>
					<a href=customerlist.jsp>Maintain Customer</a><br /></TD>
			<TD width="850" vAlign="top">

				<form name=form1 action=sendquestion.jsp method=post
					onSubmit="return validateForm()">
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								<h2>How may we help you?</h2> <br /></td>
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								style="color: #3B73B9; font-size =12; font-weight: bold;">
								<p>Do you have a question on GE Healthcare products or
									services? If so, please enter your question here...</p>
								<p>
									<textarea name="CustomerQuestion" rows=5 cols=80
										wrap="physical"
										onKeyDown="textCounter(document.form1.CustomerQuestion,document.form1.remLen1,800)"
										onKeyUp="textCounter(document.form1.CustomerQuestion,document.form1.remLen1,800)"></textarea>
									*<br><input readonly type="text" name="remLen1" size="3"
										maxlength="3" value="800"> characters left
								</p>
							</td>
						</tr>
						<tr>
							<td><br>
								<p>Please tell us about yourself...</p>
								<table>
									<tr>
										<td vAlign="Top" width="300"><p>Where do you work?</p></td>
										<td><input type="text" name="Work" size="31"
											maxlength="30" />*</td>
									</tr>
									<tr>
										<td vAlign="Top" width="300"><p>Position</p></td>
										<td vAlign="Top" width="300"><input type="text"
											name="Position" size="31" maxlength="30" />*</td>
									</tr>
									<tr>
										<td vAlign="Top" width="300"><p>First Name</p></td>
										<td vAlign="Top" width="300"><input type="text"
											name="FirstName" size="31" maxlength="30" />*</td>
									</tr>
									<tr>
										<td vAlign="Top" width="300"><p>Last Name</p></td>
										<td vAlign="Top" width="300"><input type="text"
											name="LastName" size="31" maxlength="30" />*</td>
									</tr>
									<tr>
										<td vAlign="Top" width="300"><p>Address</p></td>
										<td vAlign="Top" width="300"><input type="text"
											name="Address1" size="31" maxlength="30" />*<br> <input
											type="text" name="Address2" size="31" maxlength="30" /></td>
									</tr>
									<tr>
										<td vAlign="Top" width="300"><p>City</p></td>
										<td vAlign="Top" width="300"><input type="text"
											name="City" size="31" maxlength="30" />*</td>
									</tr>
									<tr>
										<td vAlign="Top" width="300"><p>State</p></td>
										<td vAlign="Top" width="300"><input type="text"
											name="State" size="31" maxlength="30" />*</td>
									</tr>
									<tr>
										<td vAlign="Top" width="300"><p>Zip</p></td>
										<td vAlign="Top" width="300"><input type="text"
											name="ZipCode" size="11" maxlength="10" />*</td>
									</tr>
									<tr>
										<td vAlign="Top" width="300"><p>Country</p></td>
										<td vAlign="Top" width="300"><p>
												<select name="CountryID">
													<option value="0">USA</option>
													<option value="19">Belgium (French)</option>
													<option value="20">Belgium (Flemish)</option>
													<option value="23">Brazil</option>
													<option value="17">Canada</option>
													<option value="3">Denmark</option>
													<option value="1">Europe</option>
													<option value="4">Finland</option>
													<option value="5">France</option>
													<option value="6">Germany</option>
													<option value="22">Greece</option>
													<option value="7">Hungary</option>
													<option value="8">Israel</option>
													<option value="9">Italy</option>
													<option value="18">India</option>
													<option value="10">Netherlands</option>
													<option value="11">Norway</option>
													<option value="21">Poland</option>
													<option value="12">Spain</option>
													<option value="13">Sweden</option>
													<option value="15">Turkey</option>
													<option value="16">United Kingdom</option>
												</select></td>
									</tr>
									<tr>
										<td vAlign="Top" width="300"><p>Email Address</p></td>
										<td vAlign="Top" width="300"><input type="text"
											name="EmailAddress" size="31" maxlength="30" />*</td>
									</tr>
									<tr>
										<td vAlign="Top" width="300"><br>
											<p>
												<input type="submit" name="submit"
													value="Send to GE Healthcare" />
											</p></td>
										<td vAlign="Top" width="300"><br>
											<p>* The indicated fields are required</p></td>
									</tr>
								</table></td>
						</tr>
					</table>
					<!-- Insert more Form/Table tags here -->
			</TD>
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	</TABLE>

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